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2008 | 80 | 6 | 315-320
Tytuł artykułu

Video-Assisted Transhiatal Esophagectomy in the Treatment of Esophageal Cancer

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was the analysis of sugical treatment of esophageal cancer using the video-assisted transhiatal esophagectomy (VTE).Material and methods. Between May 1994 and December 2001 a total of 115 patients with esophageal cancer underwent VTE. The study group included 102 men (89%) and 13 women (11%). Eighty - six (75%) had squamous cell carcinoma and 29 (25%) had adenocarcinoma.Results. The mean operative time was 4.5±1 h. Short-term complications occurred in 70 patients (60%), where the most common were pulmonary complications (27%, n=31), recurrent laryngeal nerve injury (17.4%, n=20), anastomotic stricture (14%, n=16) and anastomotic leak (10.4%, n=12). Early re-laparotomy was performed in 7 patients (6%). The hospital mortality rate was 9%. Follow-up included 86 patients. Long-term complications were present in 28 patients (33%). The most common complication was anastomotic stricture in 18 patients (21%). There was no statistical difference observed in survival betweeen patients operated on for squamous cell carcinoma or adenocarcinoma. Median postoperative survival was 10 months for squamous cell carcinoma and 16 months for adenocarcinoma. The 1-, 3- and 5-year survival rates were 42%, 10% and 5%, respectively, for squamous cell carcinoma and 63%, 16% and 0%, respectively, for adenocarcinoma.Conclusions. Video-assisted transhiatal esophagectomy is a useful method for esophageal cancer treatement. The use of this technique did not improve short- or long-term results of esophageal cancer management.
Wydawca

Rocznik
Tom
80
Numer
6
Strony
315-320
Opis fizyczny
Daty
wydano
2008-06-01
online
2008-06-19
Twórcy
autor
  • Department of Gastrointestinal Surgery, Silesian Medical University, Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University, Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University, Katowice
Bibliografia
  • Gertsch P, Vauthey JN, Lustenberger AA et al: Long-term results of transhiatal esophagectomy for esophageal carcinoma. Cancer 1993; 72: 2312-19.[PubMed][Crossref]
  • Moreno GE, Garcia GI, Pinto AI et al: Results of transhiatal esophagectomy in cancerof the esopahgus and other diseases. Hepato Gastroenterol 1992; 39: 439-42.
  • Gupta NM Esophagectomy without thoracotomy: first 250 patients. Eur J Surg 1996; 162: 455-61.
  • Orringer MB, Marshall B, Iannettoni MD Transhiatal esophagectomy for treatment of benign and malignant esophageal disease. World J Surg 2001; 25: 196-203.[Crossref][PubMed]
  • Lewis I The surgical treatment of carcinoma of the esophagus. Br J Surg 1946; 34: 18-31.
  • Alderson D, Courtneh SP, Kennedy RH Radical transhiatal oesophagectomy under direct vision. Br J Surg 1994; 81: 404-07.
  • Thirlby RC, Kraemer SJM, Hill LD Transdiaphragmatic approach to the posterior mediastinum and thoracic oesophagus. Arch Surg 1993; 128: 897-902.
  • Bumm R, Feussner H, Bartels H et al: Radical transhiatal esophagectomy with two-field lymphadenectomy and endodissection for distal esophageal adenocarcinoma. World J Surg 1997; 21: 822-31.[PubMed]
  • Michalik M, Budziński R, Majeranowski P Całkowicie laparoskopowa przezrozworowa resekcja przełyku. Pol Przegl Chir 2004; 76: 719-25.
  • Kamiński M, Majewski W, Sulikowski T i wsp: Porównanie wyników leczenia chorych na płaskonabłonkowego raka przełyku z zastosowaniem dwóch technik resekcji: przezklatkowej i własnej modyfikacji wycięfia przełyku za pomocą torakoskopii. Pol Przegl Chir 2003; 75: 923-37.
  • Sadanaga N, Kuwano H, Watanabe M et al: Laparoscopy- assisted surgery: a new technique for transhiatal esophageal dissection. Am J Surg 1994; 168: 355-57.
  • Sammartino P, Chirletti P, Calcaterra D et al: Video-assisted transhiatal oesophagectomy for cancer. Int Surg 1997; 82: 406-10.[PubMed]
  • Lampe P, Górka Z, Kabat J i wsp: Zastosowanie techniki laparoskopowej w przezrozworowej resekcji przełyku. Pol Przegl Chir 1995; 67: 1035-41.
  • Lampe P, Olakowski M, Wojtyczka A i wsp: Complications following video-assisted transhiatal esophagectomy for esophageal cancer. Chir Gastroenterol 2005; 21: 68-73.[Crossref]
  • Katariya K, Harvey JC, Pina E et al: Complications of transhiatal esophagectomy J Surg Oncol 1994; 57: 157-63.
  • Bolton JS, Teng S Transthoracic or transhiatal oesophagectomy for cancer of the oesophagusdoes it matter? Surg Oncol Clin N Am 2002; 11: 365-75.[PubMed][Crossref]
  • Miernik M, Kamiński M, Kostyrka R et al: Powikłania po resekcji przełyku z powodu raka. Wiad Lek 1997; 50, Suppl 1: 363-67.
  • Law SYK, Fok M, Wong J Risk analysis in resection of squamous cell carcinoma of the esophagus. World J Surg 1994; 18: 339-46.[Crossref][PubMed]
  • Bernabe KQ, Bolton JS, Richardson WS Laproscopic hand- assisted versus open transhiatal esophagectomy: a case-control study. Surg End 2005; 10.1007/s00464-004-8807-z, January 27.
  • Dąbrowski A, Skoczylas T, Zinkiewicz K i wsp: Paliatywne leczenie raka przełyku. Pol Merkur Lekarski 2005; 19: 804-07.
  • Serkies K, Badzio A, Jassem J Rola radioterapii w leczeniu chorych na raka przełyku. Pol Merkur Lekarski 2005, 18: 332-35.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-008-0043-0
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